HomeMy WebLinkAbout0047163-HVAC (wood stove) LVD
No "47163
CITY OF OSHKOSH
PERMIT APPLICATION AND RECORD
TYPE: BLDG HTG.IVIEC PLBG SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS Z-3 Ire rk s h PLAN NO
OWNER 4 As P� 5 +Q.rQ
DESIGNER f
USE /NATURE OF WORK t..,?) 1 t yc ek.- j4 i L:4Lt° )tt
ed 0t- l 6 01 Ga e
/1494--:e �r9o�P Slav e sC� I t t.� k rA 1E1 c Li. )4'1
akr-te_ 1 0 (44 r X' Ce441 4
BUILDING CONTRACTOR e
Size Sq. Ft. Rooms Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR eiw
Heat A/C Vent uel /System if.91P® Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New Change Temp Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR
BT WH Disp WSoft CBasin
Lav Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
FEES: Valuation 012..cv Permit Fee Paid Park Dedication
ISSUED BY Date T Agr Final /O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE 9 /5
AGYOWNER �j� kocii DATE
ADDRESS 3 l4 O, 'V 1 I id o� 3 r�
LEPHONE